Survey Questionnaire
First Name
Last Name
Date of Birth
Email Address
Name of school you currently attend:
What is your grade level?
Choose your grade level
6th
7th
8th
9th
10th
11th
12th
In the last year, how would you say your grades have been?
Choose all that apply
A's
B's
C's
D's
F's
Do you know your GPA (Grade Point Average)?
- Select -
Yes
No
What is your GPA?
Which sports do you participate in and/or want to participate in?
Choose all that apply
Basketball
Cross Country/Track & Field
Football
Soccer
Softball/Baseball
Tennis
Wrestling
Other
I do not participate in sports.
Name of sport you play and/or interested in playing:
Before meeting Coach Gutierrez, how much did you know about going to college?
- Select -
A great deal
A lot
A moderate amount
A little
None at all
Are you interested in playing college sports?
- Select -
Yes
No
Maybe
Are you in any clubs, organizations or extra curricular activities?
- Select -
Yes
No
Name of club, organization or extra curricular activity:
What types of help/services are you looking for?
Choose all that apply
Advice/guidance on college
Advice/guidance regarding sports
Tutoring and homework help
Help finding resources
Other
How can I help:
Do you currently participate in school official sports?
- Select -
Yes
No
Do you currently participate in club, recreational or travel sports?
- Select -
Yes
No
What are your top favorite school subjects?
Choose all that apply
Computer
English
Math
Music/Art/Drama
PE
Science
Other
Name of your favorite subject(s):
I agree to have GTZ Athletics obtain my submitted information so they can respond to my inquiry.
Let's get started
